| NPI | 1447897467 |
|---|---|
| Former Name | KRISTINA CHEYENNE ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 10413-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 14051380-3501) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2024-06-27 |